Charisse Mack, PA

NPI 1801973615 · on the registry since 2006

Practice

Address: 6140 Curtisian Ave
Ste 400
Boise, ID 83704
Phone: (208) 367-3500
Fax: (208) 367-2968
Organisation at this address: Idaho Heart Care
Paul J Montalbano Md
Ronald E Jutzy Md Inc
Christian G Zimmerman Pa
Bruce J Andersen Md Phd Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Surgical Physician Assistant
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho